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The Bridge Summer 2020 Vol. 60 No. 4, Harding School Of Theology

The Bridge

No abstract provided.

Kujdesi Infermieror Tek Pacientet Me Pneumoni, Gentiana Dauti

Theses and Dissertations

Hyrja Pneumoni në mjeksi është inflamacion i parenkimës mushkërore e shprehur në gjuhën popullore, ndezje e mushkërive.Pneumonia është një infeksion në njëren apo të dy mushkëritë. Mund të shkaktohet nga bakteret, viruset ose kërpudhat. (https://sq.wikipedia.org/wiki/Pneumonia)

Qëllimi Qëllimi kryesorë i këtij studimi është që ta kuptojmë se cilët janë faktorët që ndikojnë në shfaqjen e sëmundjes së pneumonisë, cilat mosha janë më të prekura nga kjo sëmundje, cila gjini atakohet më shumë si dhe këshillimi infermierorë rreth parandalimit të pneumonisë. Metodat Metodologjia është pothuajse pjesa më e rëndësishme e këtij punimit, ky studim përdor një përzierje të metodave të mbledhjes së …

Editor’S Note, Anucha Apisarnthanarak

Asian Medical Journal and Alternative Medicine

No abstract provided.

Delivering Water, Sanitation And Hygiene Interventions To Women And Children In Conflict Settings: A Systematic Review, Daina Als, Sarah Meteke, Marianne Stefopulos, Michelle F. Gaffey, Mahdis Kamali, Mariella Munyuzangabo, Shailja Shah, Reena P. Jain, Amruta Radhakrishnan, Fahad J. Siddiqui, Anushka Ataullahjan, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: Access to safe water and sanitation facilities and the adoption of effective hygiene practices are fundamental to reducing maternal and child morbidity and mortality globally. In armed conflict settings, inadequate water, sanitation and hygiene (WASH) infrastructure poses major health risks for women and children. This review aimed to synthesise the existing information on WASH interventions being delivered to women and children in conflict settings in low-income and middle-income countries (LMICs) and to identify the personnel, sites and platforms being used to deliver such interventions.
Methods: We conducted a systematic search for publications indexed in four databases, and grey literature …

Delivery Of Sexual And Reproductive Health Interventions In Conflict Settings: A Systematic Review, Mariella Munyuzangabo, Dina Sami Khalifa, Michelle F. Gaffey, Mahdis Kamali, Fahad J. Siddiqui, Sarah Metek, Shailja Shah, Reena P. Jain, Daina Als, Amruta Radhakrishnan, Anushka Ataullahjan, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: It is essential to provide comprehensive sexual and reproductive health (SRH) interventions to women affected by armed conflict, but there is a lack of evidence on effective approaches to delivering such interventions in conflict settings. This review synthesised the available literature on SRH intervention delivery in conflict settings to inform potential priorities for further research and additional guidance development.
Methods: We searched MEDLINE, Embase, CINAHL and PsycINFO databases using terms related to conflict, women and children, and SRH. We searched websites of 10 humanitarian organisations for relevant grey literature. Publications reporting on conflict-affected populations in low-income and middle-income countries …

Barriers To Fully Informed Decisions On Whether To Breastfeed Or Formula Feed In The United States, Megan Unger

UC Law SF Journal on Gender and Justice

No abstract provided.

Louisiana Agriculture Summer, 2020, Lsu Agcenter

Louisiana Agriculture

No abstract provided.

Scheduling And Delivery Logistics Of Bio-Perishable Goods: A Review Of Literature And Research Options, Rebecca A. Scott, Stephen M. Rutner

Journal of Transportation Management

Logistics scheduling, specifically that of order and delivery schedules, is an essential part of a firm and the supply chain. The objective of this paper was to identify any gaps in academic and professional literature regarding the logistics scheduling of perishable biopharmaceuticals. A literature review of the logistics scheduling of general products, perishable medical supplies, and flu vaccines was conducted in order to verify any potential gaps in the literature. The approach used to study this issue was based on the grounded theory concept of qualitative research, and by then focusing on an extensive review of scheduling, ordering, and delivery …

A Rare Case Of Leprosy In West Florida, Adrian Lugo, Taylor Studsrud, Nemer Dabage, James Demaio

West Florida Division GME Research Day 2020

• Leprosy is caused by acid-fast bacilli of the M. leprae complex, which includes M. leprae and M. lepromatosis.
• Transmission in the U.S. is rare, but has been documented in hunters who handle wild ninebanded armadillo.
• The origins of M. leprae infection among armadillos, the geographic range of the infected animals, and the potential risks infected armadillos present to people have been topics of concern.
• The infection originated amongst armadillos decades before they were ever used in leprosy research, and numerous surveys have confirmed that armadillos in the southern United States are a large natural reservoir for M. leprae; its prevalence …

Etsu Today - Summer 2020, University Marketing And Communication, East Tennessee State University

ETSU Today [magazine]

At East Tennessee State University, we are accustomed to dealing with hardship. It has been a defining part of our past. When tested by economic crises, wars, and threats to our very existence, our leaders, our faculty and staff, our students, our alumni, and our neighbors have met the challenge. ETSU not only survived, but it prevailed and prospered. It will continue to do so. From the very earliest days, our leaders faced uncertainty. Only eight days after the beginning of classes at East Tennessee State Normal School, our founding President, Sidney Gilbreath, was troubled. Faculty had already been on …

Taxonomic And Genetic Diversity, And Pathogenicity Of Diaporthe Species Associated With Soybean, Fakhir Eraheem Hameed Al Shuwaili

Graduate Theses and Dissertations

Diaporthe species (anamorph: Phomopsis) are associated with a wide range of plant hosts as plant pathogens, asymptomatic endophytes, and saprobes. One of these hosts is soybean, which is one of the most important crops in U.S. agriculture. Several Diaporthe species cause important diseases on soybean in the U.S., and specifically in Arkansas. The taxonomy, genetic diversity, and pathogenicity of Diaporthe species associated with asymptomatic infection of soybean are rarely studied with accurate molecular tools. Therefore, this dissertation aimed to assess the diversity and boundaries of Diaporthe associated with soybean in Arkansas. Furthermore, pathogenicity and alternative lifestyles were assessed among Diaporthe …

Defective Early Innate Immune Response To Ectromelia Virus In The Draining Lymph Nodes Of Aged Mice Due To Impaired Dendritic Cell Accumulation., Colby Stotesbury, Eric B Wong, Lingjuan Tang, Brian Montoya, Cory J Knudson, Carolina R Melo-Silva, Luis J Sigal

Department of Microbiology and Immunology Faculty Papers

It is known that aging decreases natural resistance to viral diseases due to dysfunctional innate and adaptive immune responses, but the nature of these dysfunctions, particularly in regard to innate immunity, is not well understood. We have previously shown that C57BL/6J (B6) mice lose their natural resistance to footpad infection with ectromelia virus (ECTV) due to impaired maturation and recruitment of natural killer (NK) cells to the draining popliteal lymph node (dLN). More recently, we have also shown that in young B6 mice infected with ECTV, the recruitment of NK cells is dependent on a complex cascade whereby migratory dendritic …

Epstein Barr Virus-Immortalizedｂlymphocytes Exacerbate Experimental Autoimmune Encephalomyelitis In Xenograft Mice, Pascal Polepole, Alison Bartenslager, Yutong Liu, Thomas M. Petro, Samodha C. Fernando, Luwen Zhang

Nebraska Center for Virology: Faculty Publications

Multiple sclerosis (MS) is the most common autoimmune disorder affecting the central nervous system. Epstein-Barr virus (EBV) is a causative agent for infectious mononucleosis (IM) that is associated with MS pathogenesis. However, the exact mechanism by which EBV, specifically in IM, increases the risk for MS remains unknown. EBV immortalizes primary B lymphocytes in vitro and causes excessive B lymphocyte proliferation in IM in vivo. In asymptomatic carriers, EBV-infected B lymphocytes still proliferate to certain degrees, the process of which is tightly controlled by the host immune systems. Experimental autoimmune encephalomyelitis (EAE) mimics key features of MS in humans …

Chatbots And Government Communications In Covid-19 Pandemic, Ika Meilani Untari

JURNAL KOMUNIKASI INDONESIA

COVID-19 has forced the world to change. Indonesian government, like the rest of the global community, promptly responded to the soaring transmission rate by launching an app to cater the Indonesians’ need for information. COVID19 GO.ID was launched on March 20, 2020, adding to previous chatbots built by WHO and afterwards followed by GOV UK. Using casestudies method and comparing it to the four unique affordances of chatbot, this study wasconducted to com pare the three chatbots, and thus achieve a valuable information to improve Indonesia’s chatbot under the Media Richness Theory. Indonesian government chatbot needs to add more engaging …

Pretrial Detention In The Time Of Covid-19, Jenny E. Carroll

Faculty Scholarship

It is hard to overstate the impact of COVID-19. When it comes to the criminal justice system, the current COVID-19 crisis has shone a light on pre-existing flaws. Long before the first confirmed case in Seattle or elsewhere, America’s jails and prisons were particularly susceptible to contagions, exacerbated by problems from overcrowding to over policing to lack of reentry programs. This Essay focuses on one aspect of the challenges the criminal justice system faces in light of COVID-19 and beyond—that of a pretrial detention system that falls more harshly on poor and minority defendants, has swollen local jail populations, and …

Analyzing The Response To Covid-19 In Pennsylvania State Correctional Institutions, Elizabeth A. Rousseau

Student Publications

To evaluate the effects of the COVID-19 outbreak on the Pennsylvania prison system, I collected data from the Pennsylvania Department of Corrections, the Pennsylvania Department of Health, and the Marshall Project. I supplemented the data with opinion pieces and journal articles discussing the specific issues that this pandemic imposes upon prisons in the United States. In sum, population data collected from the Department of Corrections showed that only a few State Correctional Institutions saw a steady decrease in population over the 25 day study period from from June 18th through July 13th (Pennsylvania Department of Corrections, 2020). Combining testing data …

Repression Of Tick Microrna-133 Induces Organic Anion Transporting Polypeptide Expression Critical For Anaplasma Phagocytophilumsurvival In The Vector And Transmission To The Vertebrate Host, Ellango Ramasamy, Vikas Taank, John F. Anderson, Hameeda Sultana, Girish Neelakanta

Biological Sciences Faculty Publications

The microRNAs (miRNAs) are important regulators of gene expression. In this study, we provide evidence for the first time to show that rickettsial pathogen Anaplasma phagocytophilum infection results in the down-regulation of tick microRNA-133 (miR-133), to induce Ixodes scapularis organic anion transporting polypeptide (isoatp4056) gene expression critical for this bacterial survival in the vector and for its transmission to the vertebrate host. Transfection studies with recombinant constructs containing transcriptional fusions confirmed binding of miR-133 to isoatp4056 mRNA. Treatment with miR-133 inhibitor resulted in increased bacterial burden and isoatp4056 expression in ticks and tick cells. In contrast, treatment with …

Calculating Life And Death In A Time Of Covid, Larry Hirschhorn, Phd

School of Continuing and Professional Studies Coronavirus Papers

The current pandemic makes us feel helpless. We can respond to its predation pragmatically but its silent march through the population promotes dread. Our helplessness undermines our belief in our culture as the source of our self-esteem and felt significance. One response to our experience of helplessness is the omnipotent stance, the idea that we can master the virus, stop it in its tracks, command one another to comply with injunctions and wreak a path of destruction by devastating the economy. Omnipotence promotes magical thinking. In the service of defeating death, we ignore actual suffering; deaths of despair and deaths …

Current Recommendations For The Perioperative Management Of Patients On Buprenorphine: A Case Study, Coreen Tanner

Nurse Anesthesia MSNA Student Capstones

According to the US Department of Health and Human Services, more than 2 million Americans suffer from opioid use disorder (DHHS, 2020). Opioid maintenance therapy (OMT) for OUD has been shown to reduce the rates of inpatient hospitalization and overall opioid-related mortality (Quaye & Zhang, 2019). Buprenorphine is a partial mu receptor agonist and kappa receptor antagonist that is used frequently by patients on OMT. Beginning in 2010 annual prescriptions for buprenorphine products have increased dramatically (Lembke, Ottestad, & Schmiesing, 2019).

With the rising level of chronic pain and opioid use nationally, more and more patients taking buprenorphine are presenting …

Persistence Of Oncogenic And Non-Oncogenic Human Papillomavirus Is Associated With Human Immunodeficiency Virus Infection In Kenyan Women, Yan Tong, Philip Tonui, Aaron Ermel, Elkanah Omenge, Nelson Wong, Titus Maina, Stephen Kiptoo, Kapten Muthoka, Patrick J. Loehrer, Darron R. Brown

Obstetrics and Gynaecology, East Africa

Objectives: Cervical cancer is caused by persistent infection with oncogenic, or “high-risk” types of human papillomaviruses, and is the most common malignancy in Kenyan women. A longitudinal study was initiated to investigate factors associated with persistent human papillomavirus detection among HIV-infected and HIV-uninfected Kenyan women without evidence of cervical dysplasia.

Methods: Demographic/behavioral data and cervical swabs were collected from HIV-uninfected women (n = 82) and HIV-infected women (n = 101) at enrollment and annually for 2 years. Human papillomavirus typing was performed on swabs (Roche Linear Array). Logistic regression models of human papillomavirus persistence were adjusted for demographic …

Making Elearning Engaging: The Effect Of Technology Strategies On Student Engagement And Content Knowledge Development In A Secondary Mathematics Digital Classroom, Allison Knapp

Theses and Dissertations

This action research study employed a mixed-methods design to examine the effect of technology strategies on secondary students’ engagement and development of geometry content knowledge in an eLearning setting. Seeking to understand student preferences of the technology tools, this two-week study was conducted during a geometry unit on quadrilaterals and employed the following technology tools: student response systems (SRS), computer-assisted instruction (CAI), gamification, and teacher-made screencasts. Quantitative data was collected on student engagement, the usefulness of the technology, and student self-efficacy through a Likert-scale survey after each day of using technology. Qualitative data were collected through purposeful interviews with students …

A Multifocused Intervention To Reducing Antibiotic Prescribing In Uncomplicated Upper Respiratory Infections In The Urgent Care Setting, Chelsea Popp

Doctor of Nursing Practice Projects

Background: Upper respiratory infections (URIs) comprise a large amount of Urgent Care visits. Though certain patients with URIs may require antibiotic intervention, the majority of patients are considered uncomplicated. Inappropriate prescribing of antibiotics has a direct association to antibiotic resistant bacteria and increased patient mortality (Harris, et al., 2016). Antibiotics are prescribed for more than half of URI’s presenting to Urgent Care clinics.

Purpose: The purpose of this quality improvement project is to determine if proper education on current evidence-based practice guidelines for both the patient and provider will result in a reduction in the number of antibiotics prescribed for …

The Effect Of A Provider Education Program On Antibiotic Overuse In Acute Sinusitis, Shawna Berg

Doctor of Nursing Practice Projects

Background: Acute sinusitis is a typical patient diagnosis encountered in the outpatient setting. Inappropriate antibiotic prescribing is a well-documented concern. The overprescribing of antibiotics is associated with increased antibiotic resistance, cost, and adverse side effects. Despite the research, improper prescribing of antibiotics continues to be problematic.

Purpose: A provider education program was implemented at three separate urgent care centers for healthcare providers concerning antibiotic stewardship. The objective was to evaluate the effectiveness of a provider education program to examine changes in the immediate antibiotic prescribing habits.

Design Method: A pretest-posttest quasi-experimental design with provider educational intervention was implemented concerning antibiotic …

Improving The Accuracy Of Temporal Artery Thermometry In Pediatric Direct Care Providers: A Performance Improvement Project, Kimberly L. Bell

Doctor of Nursing Practice Projects

Purpose: The purpose of the project was to improve the accuracy of temporal artery thermometry (TAT) measurements compared to axillary, rectal, and oral thermometry readings on a Pulmonary Pediatric Care Unit.

Design and Methods: A pre-educational and post-educational competency tests and skill performance test of obtaining accurate TAT results with an Exergen 5000 Temporal Scanner were implemented after the pediatric nursing staff participated in a 60-minute educational program. Of the 32 participants, most were RNs (84%) followed by certified nursing assistants (9%) and LPNs. Most participants worked the 12-hour day shift 7a-7p (59%), followed by the 7a-3p shift (38%) and …

Improving Patient Follow-Up For Laboratory Testing Using Telephone Calls As An Intervention: A Quality Improvement Project, Jill Gray

Doctor of Nursing Practice Projects

Background: Today, in the United States, 74,273 individuals are actively waiting for an organ transplant. Of those, approximately 8,000 need a liver transplant. With the increased need for an organ transplant, the use of increased risk donors is on the rise. In these patients, it is imperative to monitor for the transmission of HCV, HBV, and HIV.

Purpose: Increase compliance for monitoring transplant recipients who receive organs from increased risk donors for HCV, HBV, and HIV.

Design method: In order to measure the outcomes of this project, the following instruments were used: parametric testing and paired t-test. Parametric …

The Affect Of Cleaning Mobile Equipment After Every Use On Infection Rates, Kyley Bandholz Rn, Bsn, Erum Khurshid Rn, Bsn, Jill Kula Rn, Bsn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Bortezomib With Standard Chemotherapy For Children With Acute Myeloid Leukemia Does Not Improve Treatment Outcomes: A Report From The Children's Oncology Group., Richard Aplenc, Soheil Meshinchi, Lillian Sung, Todd Alonzo, John Choi, Brian Fisher, Robert Gerbing, Betsy Hirsch, Terzah Horton, Samir Kahwash, John Levine, Michael Loken, Lisa Brodersen, Jessica Pollard, Susana Raimondi, Edward Anders Kolb, A S. Gamis

Manuscripts, Articles, Book Chapters and Other Papers

New therapeutic strategies are needed for pediatric acute myeloid leukemia (AML) to reduce disease recurrence and treatment-related morbidity. The Children's Oncology Group Phase III AAML1031 trial tested whether the addition of bortezomib to standard chemotherapy improves survival in pediatric patients with newly diagnosed AML. AAML1031 randomized patients younger than 30 years of age with de novo AML to standard treatment with or without bortezomib. All patients received the identical chemotherapy backbone with either four intensive chemotherapy courses or three courses followed by allogeneic hematopoietic stem cell transplantation for high-risk patients. For those randomized to the intervention arm, bortezomib 1.3 mg/m2 …

Himmelfarb Library Liaison Letter - July 2020, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

On Wings Of Hope, Volume 24, No. 3, 2020, Phadp, Esther Brown, Anthony Boyd, Darryl Turner, John Lewis, Carey Grayson

On Wings of Hope

July–September 2020 edition. Includes A Christian Perspective, whose authors are listed elsewhere in this archive.

Detection Of Biofilm Production And Its Impact On Antibiotic Resistance Profile Of Bacterial Isolates From Chronic Wound Infections, Kala Harika, Vishnu Shenoy, Nagalakshmi Narasimhaswamy, Kiran Chawla

Open Access archive

Background: Microorganisms are known to be involved in the formation of biofilm. These biofilms are often seen in chronic wound infections, surgical site infections, implants etc., These are capable of causing recalcitrant infections and most of them are also known to possess high antibiotic resistance. Objectives: This study was conducted to detect the biofilm formation in bacterial isolates from chronic wound infections. Materials and Methods: In the present study, ninety two isolates from chronic wound infections were identified by MALDI-TOF-MS (bioMerieux) and VITEK-2-MS (bioMerieux). These isolates were further screened for biofilm formation by three methods i. e., Tissue Culture Plate …